Organization Active NPI

Mercer Dental LLC

Doing business as Rasmussen Dental LLC

  • Dental Clinic/Center
  • Mercer, WI
National Provider Identifier
1104389097
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MERCER DENTAL LLC
Doing business as
Rasmussen Dental LLC
Practice address
5222 Hwy 51 N
Mercer, WI 54547
Phone
(715) 476-3432
NPI assigned
Apr 9, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derek Rasmussen
Title
Manager
Phone
(715) 439-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5222 Hwy 51 N
Mercer, WI 54547

Mailing address

8796 Brunswick Rd
Minocqua, WI 54548-9346
Phone (715) 439-5365

Other names 1

  • Rasmussen Dental LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8796 Brunswick Rd
Minocqua, WI 54548
Phone (715) 356-2060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1104389097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 BRUNSWICK RD",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489346",
            "telephone_number": "715-439-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 HWY 51 N",
            "city": "MERCER",
            "state": "WI",
            "postal_code": "54547",
            "telephone_number": "715-476-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-439-5365"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rasmussen Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rasmussen Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.